Organization Active NPI

Nader Sobh Inc

  • Sports Medicine (Family Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1447891924
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
NADER SOBH INC
Practice address
1335 N la Brea Ave Ste 3
Los Angeles, CA 90028-7565
Phone
(818) 696-0091
NPI assigned
Oct 4, 2019
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nader Sobh, DONPI 1952766925
Title
Physician
Phone
(951) 833-3712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

1335 N la Brea Ave Ste 3
Los Angeles, CA 90028-7565

Mailing address

1335 N la Brea Ave Ste 3
Los Angeles, CA 90028-7565
Phone (951) 833-3712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200121001917 CA Part B Supplier - Clinic/Group Practice 4284069246 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA
O20201228000471 CA DME Supplier - Sports Medicine 4284069246 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1325 Palmetto St
Ste 160
Los Angeles, CA 90013
Phone (213) 297-4395

1335 N La Brea Ave
Ste 3
Los Angeles, CA 90028
Phone (213) 297-4395

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1447891924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N LA BREA AVE STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287565",
            "telephone_number": "951-833-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 N LA BREA AVE STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287565",
            "telephone_number": "818-696-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER SOBH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "SOBH",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "951-833-3712",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.